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A Study to Compare the Efficacy and Safety of LY01015 and Opdivo® Combined Respectively With Chemotherapy in Advanced or Metastatic Esophageal Squamous Cell Carcinoma

Primary Purpose

Esophageal Squamous Cell Carcinoma

Status
Not yet recruiting
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
LY01015
Fluorouracil
Cisplatin
Opdivo®
Sponsored by
Shandong Boan Biotechnology Co., Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Esophageal Squamous Cell Carcinoma

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Willing to sign the informed consent form. Male or female aged 18 to 75 years patients. Histopathologically confirmed esophagus squamous cell carcinoma. Diagnosed with advanced or metastatic ESCC per AJCC 8th edition, not be amenable to curative approaches( such as definitive chemoradiation/surgery), not received prior systemic anti-cancer therapy for progressive or metastatic disease. Prior neoadjuvant, adjuvant or definitive radiotherapy/chemoradiotherapy/chemotherapy for locally advanced diseases is permitted if time from the last dose to recurrence> 24 weeks. Must have at least one measurable lesion assessed by investigator per RECIST 1.1 criteria . ECOG performance status of 0 to 1. Prior to the first dose, the tumor tissue samples must be provided for PD-L1 expression analysis, and PD-L1 TPS≥1%. Expected survival ≥6 months. Adequate organ function at screening. Exclusion Criteria: Presence of symptomatic brain metastasis or spinal compression, or history of meningeal metastasis. Patients with asymptomatic brain metastases who have received prior treatment are permitted to enroll if the disease is stable, and corticosteroids have not been required for at least 4 weeks prior to screening. Patients with carcinomatous meningitis are ineligible, regardless of whether the disease is clinically stable or not. With high risks of bleeding or fistula due to apparent tumor invasion to esophagus or adjacent organs. Known endoscopy-confirmed near-complete obstruction requiring interventional therapy or with risk of perforation post stent implantation in the esophagus or trachea. Unstable disease within 6 months prior to signing informed consent form, including but not limited to unstable angina, myocardial infarction, NYHA Class II or higher cardiac failure, severe arrhythmia or cerebrovascular accident (including transient ischemic attacks) requiring treatment, or any other poorly-controlled systemic disease, for example, uncontrolled hypertension (systolic pressure ≥160 mmHg or diastolic pressure≥100 mmHg) despite standard treatment. Received prior treatment with an anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137 or anti-CTLA-4 agent or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways. Prior cumulative exposure dose of cisplatin>300 mg/m2 and time from the last dose of cisplatin to randomization ≤12 month. Received a live vaccine within 4 weeks prior to the first dose, or be scheduled to receive a live vaccine during the entire course of the study. Received systemic chemotherapy, targeted therapy, immunosuppressants, immunostimulants, biological agents, Chinese herbal medicines for anti-tumor indications (prescription or medical record required), Chinese patent drug or any other investigational agents or participated in interventional clinical study within 4 weeks (or five half-lives, whichever is longer) prior to the first dose. Other conditions, as determined by the investigator, for example, severe deep vein thrombosis, arterial embolism, hepatic encephalopathy, Child-Pugh grade B or more severe cirrhosis, or other acute or chronic disease, mental illnesses or laboratory abnormalities, which may lead to the following consequences: increase the risks associated with study participation or study drug administration, or interfere with the interpretation of study results.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    LY01015+ Fluorouracil + Cisplatin

    Opdivo® + Fluorouracil + Cisplatin

    Arm Description

    Outcomes

    Primary Outcome Measures

    Objective Response Rate(ORR) as assessed by IRC

    Secondary Outcome Measures

    Objective Response Rate(ORR) as assessed by IRC and investigator
    Disease Control Rate (DCR)
    Duration of Response (DOR)
    Progression-Free Survival (PFS)
    16-week Progression-Free Survival Rate
    24-week Progression-Free Survival Rate
    Overall Survival (OS)
    Incidence and severity of adverse effects (AEs)
    Incidence of Anti-Drug Antibodies (ADA) and Neutralizing Antibodies (Nab)

    Full Information

    First Posted
    August 9, 2023
    Last Updated
    August 28, 2023
    Sponsor
    Shandong Boan Biotechnology Co., Ltd
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    1. Study Identification

    Unique Protocol Identification Number
    NCT06022861
    Brief Title
    A Study to Compare the Efficacy and Safety of LY01015 and Opdivo® Combined Respectively With Chemotherapy in Advanced or Metastatic Esophageal Squamous Cell Carcinoma
    Official Title
    A Randomized, Double-blind, Multicenter, Phase 3 Study to Compare the Efficacy and Safety of LY01015 and Opdivo®(Nivolumab Injection)Combined Respectively With Fluorouracil Plus Cisplatin in Participants With Advanced or Metastatic Esophageal Squamous Cell Carcinoma.
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    August 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    September 2023 (Anticipated)
    Primary Completion Date
    June 2025 (Anticipated)
    Study Completion Date
    December 2026 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Shandong Boan Biotechnology Co., Ltd

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    This is a randomized, double-blind, multicenter, Phase 3 study to compare the efficacy and safety of LY01015 and Opdivo®(Nivolumab Injection)combined respectively with fluorouracil plus cisplatin in participants with unresectable advanced, recurrent or metastatic previously untreated esophageal squamous cell carcinoma.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Esophageal Squamous Cell Carcinoma

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    510 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    LY01015+ Fluorouracil + Cisplatin
    Arm Type
    Experimental
    Arm Title
    Opdivo® + Fluorouracil + Cisplatin
    Arm Type
    Active Comparator
    Intervention Type
    Drug
    Intervention Name(s)
    LY01015
    Intervention Description
    Intravenouslly (IV) 240mg every 2 weeks (Q2W) during the combined chemotherapy period, thereafter, 480mg every 4 weeks(Q4W) during the maintenance treatment period
    Intervention Type
    Drug
    Intervention Name(s)
    Fluorouracil
    Intervention Description
    Intravenouslly (IV) l 800mg/m2 every 4 weeks ((on Day 1 through Day 5)during the combined chemotherapy period
    Intervention Type
    Drug
    Intervention Name(s)
    Cisplatin
    Intervention Description
    Intravenouslly (IV) 80mg/m2 every 4 weeks (Q4W) during the combined chemotherapy period
    Intervention Type
    Drug
    Intervention Name(s)
    Opdivo®
    Intervention Description
    Intravenouslly (IV) 240mg every 2 weeks (Q2W) during the combined chemotherapy period, 480mg every 4 weeks(Q4W) during the maintenance treatment period within 24 weeks, thereafter converted to LY01015 480mg every 4 weeks(Q4W).
    Primary Outcome Measure Information:
    Title
    Objective Response Rate(ORR) as assessed by IRC
    Time Frame
    from baseline to week 16
    Secondary Outcome Measure Information:
    Title
    Objective Response Rate(ORR) as assessed by IRC and investigator
    Time Frame
    from baseline to week 24
    Title
    Disease Control Rate (DCR)
    Time Frame
    up to 2 years
    Title
    Duration of Response (DOR)
    Time Frame
    up to 2 years
    Title
    Progression-Free Survival (PFS)
    Time Frame
    up to 2 years
    Title
    16-week Progression-Free Survival Rate
    Time Frame
    from baseline to week 16
    Title
    24-week Progression-Free Survival Rate
    Time Frame
    from baseline to week 16
    Title
    Overall Survival (OS)
    Time Frame
    up to 2 years
    Title
    Incidence and severity of adverse effects (AEs)
    Time Frame
    up to 2 years
    Title
    Incidence of Anti-Drug Antibodies (ADA) and Neutralizing Antibodies (Nab)
    Time Frame
    up to 2 years

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    75 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Willing to sign the informed consent form. Male or female aged 18 to 75 years patients. Histopathologically confirmed esophagus squamous cell carcinoma. Diagnosed with advanced or metastatic ESCC per AJCC 8th edition, not be amenable to curative approaches( such as definitive chemoradiation/surgery), not received prior systemic anti-cancer therapy for progressive or metastatic disease. Prior neoadjuvant, adjuvant or definitive radiotherapy/chemoradiotherapy/chemotherapy for locally advanced diseases is permitted if time from the last dose to recurrence> 24 weeks. Must have at least one measurable lesion assessed by investigator per RECIST 1.1 criteria . ECOG performance status of 0 to 1. Prior to the first dose, the tumor tissue samples must be provided for PD-L1 expression analysis, and PD-L1 TPS≥1%. Expected survival ≥6 months. Adequate organ function at screening. Exclusion Criteria: Presence of symptomatic brain metastasis or spinal compression, or history of meningeal metastasis. Patients with asymptomatic brain metastases who have received prior treatment are permitted to enroll if the disease is stable, and corticosteroids have not been required for at least 4 weeks prior to screening. Patients with carcinomatous meningitis are ineligible, regardless of whether the disease is clinically stable or not. With high risks of bleeding or fistula due to apparent tumor invasion to esophagus or adjacent organs. Known endoscopy-confirmed near-complete obstruction requiring interventional therapy or with risk of perforation post stent implantation in the esophagus or trachea. Unstable disease within 6 months prior to signing informed consent form, including but not limited to unstable angina, myocardial infarction, NYHA Class II or higher cardiac failure, severe arrhythmia or cerebrovascular accident (including transient ischemic attacks) requiring treatment, or any other poorly-controlled systemic disease, for example, uncontrolled hypertension (systolic pressure ≥160 mmHg or diastolic pressure≥100 mmHg) despite standard treatment. Received prior treatment with an anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137 or anti-CTLA-4 agent or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways. Prior cumulative exposure dose of cisplatin>300 mg/m2 and time from the last dose of cisplatin to randomization ≤12 month. Received a live vaccine within 4 weeks prior to the first dose, or be scheduled to receive a live vaccine during the entire course of the study. Received systemic chemotherapy, targeted therapy, immunosuppressants, immunostimulants, biological agents, Chinese herbal medicines for anti-tumor indications (prescription or medical record required), Chinese patent drug or any other investigational agents or participated in interventional clinical study within 4 weeks (or five half-lives, whichever is longer) prior to the first dose. Other conditions, as determined by the investigator, for example, severe deep vein thrombosis, arterial embolism, hepatic encephalopathy, Child-Pugh grade B or more severe cirrhosis, or other acute or chronic disease, mental illnesses or laboratory abnormalities, which may lead to the following consequences: increase the risks associated with study participation or study drug administration, or interfere with the interpretation of study results.

    12. IPD Sharing Statement

    Learn more about this trial

    A Study to Compare the Efficacy and Safety of LY01015 and Opdivo® Combined Respectively With Chemotherapy in Advanced or Metastatic Esophageal Squamous Cell Carcinoma

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